Chia An An, Power Emma, Kenny Belinda, Elbourn Elise, McDonald Skye, Tate Robyn, MacWhinney Brian, Turkstra Lyn, Holland Audrey, Togher Leanne
a Discipline of Speech Pathology, Faculty of Health Sciences , University of Sydney , Lidcombe, NSW , Australia.
b Discipline of Speech Pathology, UTS Graduate School of Health , University of Technology , Sydney , Australia.
Brain Inj. 2019;33(5):690-698. doi: 10.1080/02699052.2019.1571632. Epub 2019 Feb 23.
To investigate whether the degree of participation by people with severe Traumatic Brain Injury (TBI), and the degree of support by their communication partners (CPs) changes in conversation during subacute recovery.
Seventeen pairs of participants with TBI and their CPs were video-recorded during a 10 min casual conversation at 3 and 6 months post-injury. Communication behaviors were rated using the adapted Measure of Participation in Conversation (MPC) and the adapted Measure of Support in Conversation (MSC) at both time points and compared.
Inferential analyses showed that there was no significant change in the degree of participation in conversation by participants with TBI and the degree of conversation support by their CPs from 3 to 6 months post. Comparison of qualitative field notes revealed that specific conversational behaviors changed over time, including better turn-taking and topic maintenance.
Documenting early communication recovery is a complex and challenging endeavor. The lack of change in conversational effectiveness during the sub-acute period using global rating scales highlights the need for social communication tools that are sensitive to communication recovery following severe TBI.
调查重度创伤性脑损伤（TBI）患者的参与程度以及他们的交流伙伴（CPs）在亚急性恢复期间对话中的支持程度是否发生变化。
17对TBI患者及其CPs在受伤后3个月和6个月进行10分钟的随意对话时被录像。在两个时间点使用改编后的对话参与度测量量表（MPC）和改编后的对话支持度测量量表（MSC）对交流行为进行评分并比较。
推断分析表明，TBI患者的对话参与程度及其CPs的对话支持程度在受伤后3至6个月没有显著变化。定性现场记录的比较显示，特定的对话行为随时间而改变，包括更好的轮流发言和话题维持。
记录早期交流恢复是一项复杂且具有挑战性的工作。使用整体评分量表时，亚急性期对话有效性缺乏变化，这凸显了需要对重度TBI后交流恢复敏感的社交交流工具。
